Individual
MELANIE ROSE WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2052 GALISTEO ST, SANTA FE, NM 87505-2100
(505) 819-3419
Mailing address
2228 CALLE CACIQUE, SANTA FE, NM 87505-4903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-78118
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
66689
NM
Other
Enumeration date
04/10/2018
Last updated
07/22/2024
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